NPIMap

Organization Active NPI

Premier Community Services

  • Developmentally Disabled Services Day Training Agency
  • Lafayette, LA
National Provider Identifier
1821239203
Registry record updated Mar 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
License
PCA15118 Issued in LA
Legal business name
PREMIER COMMUNITY SERVICES
Practice address
3414 Moss St
Ste C
Lafayette, LA 70507-6107
Phone
(337) 269-8990
Fax
(225) 272-1940
NPI assigned
Mar 16, 2009
Last updated
Mar 16, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Virginia Collins, LCSW
Title
Executive Director
Phone
(225) 405-3333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X PCA15118 LA Primary

Addresses

Primary practice location

3414 Moss St
Ste C
Lafayette, LA 70507-6107

Mailing address

3414 Moss St
Ste C
Lafayette, LA 70507-6107
Phone (337) 269-8990

Other identifiers 1

IdentifierTypeStateIssuer
1329215MedicaidLA

National Provider Directory

National Provider Directory
Tax ID family
Premier Community Services LLC13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1237161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237161600000",
    "number": "1821239203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3414 MOSS ST",
            "address_2": "STE C",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705076107",
            "telephone_number": "337-269-8990",
            "fax_number": "225-272-1940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3414 MOSS ST",
            "address_2": "STE C",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705076107",
            "telephone_number": "337-269-8990",
            "fax_number": "225-272-1940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER COMMUNITY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-16",
        "last_updated": "2009-03-16",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "VIRGINIA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "225-405-3333",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "LA",
            "license": "PCA15118",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1329215",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.